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DELTA DENTAL PLAN OF MN 401k Plan overview

Plan NameDELTA DENTAL PLAN OF MN
Plan identification number 506

DELTA DENTAL PLAN OF MN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

MTS SYSTEMS CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:MTS SYSTEMS CORPORATION
Employer identification number (EIN):410908057
NAIC Classification:339900

Additional information about MTS SYSTEMS CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 2389064

More information about MTS SYSTEMS CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELTA DENTAL PLAN OF MN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062021-10-01
5062020-10-01
5062019-10-01
5062018-10-01
5062017-10-01DOROTHY BELLING
5062016-10-01DOROTHY BELLING
5062015-10-01DOROTHY BELLING DOROTHY BELLING2017-03-10
5062014-10-01DOROTHY BELLING DOROTHY BELLING2016-03-10
5062013-10-01DOROTHY BELLING
5062012-10-01DOROTHY BELLING DOROTHY BELLING2014-03-27
5062011-10-01DOROTHY BELLING DOROTHY BELLING2013-04-04
5062010-10-01DOROTHY BELLING
5062009-10-01DOROTHY BELLING DOROTHY BELLING2011-03-04

Plan Statistics for DELTA DENTAL PLAN OF MN

401k plan membership statisitcs for DELTA DENTAL PLAN OF MN

Measure Date Value
2021: DELTA DENTAL PLAN OF MN 2021 401k membership
Total participants, beginning-of-year2021-10-011,452
Total number of active participants reported on line 7a of the Form 55002021-10-011,416
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-011,416
2020: DELTA DENTAL PLAN OF MN 2020 401k membership
Total participants, beginning-of-year2020-10-01995
Total number of active participants reported on line 7a of the Form 55002020-10-011,441
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-011,441
2019: DELTA DENTAL PLAN OF MN 2019 401k membership
Total participants, beginning-of-year2019-10-01995
Total number of active participants reported on line 7a of the Form 55002019-10-01995
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01995
2018: DELTA DENTAL PLAN OF MN 2018 401k membership
Total participants, beginning-of-year2018-10-011,054
Total number of active participants reported on line 7a of the Form 55002018-10-011,074
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-011,074
2017: DELTA DENTAL PLAN OF MN 2017 401k membership
Total participants, beginning-of-year2017-10-011,073
Total number of active participants reported on line 7a of the Form 55002017-10-011,038
Number of retired or separated participants receiving benefits2017-10-0119
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-011,057
2016: DELTA DENTAL PLAN OF MN 2016 401k membership
Total participants, beginning-of-year2016-10-011,061
Total number of active participants reported on line 7a of the Form 55002016-10-011,059
Number of retired or separated participants receiving benefits2016-10-0114
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-011,073
2015: DELTA DENTAL PLAN OF MN 2015 401k membership
Total participants, beginning-of-year2015-10-011,036
Total number of active participants reported on line 7a of the Form 55002015-10-011,047
Number of retired or separated participants receiving benefits2015-10-015
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-011,052
2014: DELTA DENTAL PLAN OF MN 2014 401k membership
Total participants, beginning-of-year2014-10-01963
Total number of active participants reported on line 7a of the Form 55002014-10-011,009
Number of retired or separated participants receiving benefits2014-10-0115
Total of all active and inactive participants2014-10-011,024
2013: DELTA DENTAL PLAN OF MN 2013 401k membership
Total participants, beginning-of-year2013-10-01964
Total number of active participants reported on line 7a of the Form 55002013-10-01946
Number of retired or separated participants receiving benefits2013-10-0117
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01963
2012: DELTA DENTAL PLAN OF MN 2012 401k membership
Total participants, beginning-of-year2012-10-01909
Total number of active participants reported on line 7a of the Form 55002012-10-01955
Number of retired or separated participants receiving benefits2012-10-019
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-01964
2011: DELTA DENTAL PLAN OF MN 2011 401k membership
Total participants, beginning-of-year2011-10-01822
Total number of active participants reported on line 7a of the Form 55002011-10-01900
Number of retired or separated participants receiving benefits2011-10-018
Number of other retired or separated participants entitled to future benefits2011-10-011
Total of all active and inactive participants2011-10-01909
2010: DELTA DENTAL PLAN OF MN 2010 401k membership
Total participants, beginning-of-year2010-10-01820
Total number of active participants reported on line 7a of the Form 55002010-10-01808
Number of retired or separated participants receiving benefits2010-10-0113
Number of other retired or separated participants entitled to future benefits2010-10-011
Total of all active and inactive participants2010-10-01822
2009: DELTA DENTAL PLAN OF MN 2009 401k membership
Total participants, beginning-of-year2009-10-01941
Total number of active participants reported on line 7a of the Form 55002009-10-01765
Number of retired or separated participants receiving benefits2009-10-0154
Number of other retired or separated participants entitled to future benefits2009-10-011
Total of all active and inactive participants2009-10-01820

Form 5500 Responses for DELTA DENTAL PLAN OF MN

2021: DELTA DENTAL PLAN OF MN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: DELTA DENTAL PLAN OF MN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: DELTA DENTAL PLAN OF MN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – General assets of the sponsorYes
2019-10-01Plan benefit arrangement – General assets of the sponsorYes
2018: DELTA DENTAL PLAN OF MN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – General assets of the sponsorYes
2018-10-01Plan benefit arrangement – General assets of the sponsorYes
2017: DELTA DENTAL PLAN OF MN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – General assets of the sponsorYes
2016: DELTA DENTAL PLAN OF MN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – General assets of the sponsorYes
2015: DELTA DENTAL PLAN OF MN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – General assets of the sponsorYes
2015-10-01Plan benefit arrangement – General assets of the sponsorYes
2014: DELTA DENTAL PLAN OF MN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement – General assets of the sponsorYes
2013: DELTA DENTAL PLAN OF MN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – General assets of the sponsorYes
2013-10-01Plan benefit arrangement – General assets of the sponsorYes
2012: DELTA DENTAL PLAN OF MN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – General assets of the sponsorYes
2012-10-01Plan benefit arrangement – General assets of the sponsorYes
2011: DELTA DENTAL PLAN OF MN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – General assets of the sponsorYes
2011-10-01Plan benefit arrangement – General assets of the sponsorYes
2010: DELTA DENTAL PLAN OF MN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedNo
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – General assets of the sponsorYes
2010-10-01Plan benefit arrangement – General assets of the sponsorYes
2009: DELTA DENTAL PLAN OF MN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – General assets of the sponsorYes
2009-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0000000223
Policy instance 1
Insurance contract or identification number0000000223
Number of Individuals Covered2912
Insurance policy start date2021-10-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,410
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $28,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,410
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSION PAID
Insurance broker organization code?4
DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0000000223
Policy instance 1
Insurance contract or identification number0000000223
Number of Individuals Covered2986
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $14,633
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,175,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,633
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSION PAID
Insurance broker organization code?4
DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0000000223
Policy instance 1
Insurance contract or identification number0000000223
Number of Individuals Covered2291
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $3,334
Total amount of fees paid to insurance companyUSD $2,533
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $857,389
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,334
Amount paid for insurance broker fees2533
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSION PAID
Insurance broker organization code?4
DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0000000223
Policy instance 1
Insurance contract or identification number0000000223
Number of Individuals Covered2536
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $10,301
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $988,437
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,301
Insurance broker organization code?4

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